Individual
SAMANTHA WEIDELE WALDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9929 REA RD STE 201, WAXHAW, NC 28173
(704) 316-1650
(704) 316-1651
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-1650
(704) 316-1651
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9950
NC
Other
Enumeration date
06/26/2013
Last updated
10/26/2020
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